Harada H, Sasaki T, Yamamoto N, Tanaka J, Tomiyama Y
Gastroenterol Jpn. 1977;12(1):52-8. doi: 10.1007/BF02774002.
This report is concerned with studies on duodenofiberscopic examinations with aspiration cytology endoscopic retrograde cholangio-pancreatography (ERCP) in 44 patients with cancer of the pancreas. Aspiration cytology alone was diagnostic in 91% of cancer of the head of the pancreas, 55% of cancer the body and tail of the pancreas and 100% of cancer of the whole pancreas. ERCP alone was diagnostic in 59% of cancer of the head of the pancreas, 75% of cancer of the body and tail of the pancreas and 100% of cancer of the whole pancreas. By combining these two approach a diagnostic result was obtained in 95% of cancer of the head of the pancreas and 90% of cancer of body and tail of the pancreas. It is concluded that the combined diagnostic approach has enhanced diagnostic accuracy of malignant lesions of the pancreas and that it has not yet led to an improvement resectability and mortality.
本报告涉及对44例胰腺癌患者进行十二指肠纤维镜检查并抽吸细胞学检查及内镜逆行胰胆管造影（ERCP）的研究。单独抽吸细胞学检查对91%的胰头癌、55%的胰体尾癌和100%的全胰腺癌具有诊断价值。单独ERCP对59%的胰头癌、75%的胰体尾癌和100%的全胰腺癌具有诊断价值。通过将这两种方法结合，95%的胰头癌和90%的胰体尾癌获得了诊断结果。结论是，联合诊断方法提高了胰腺恶性病变的诊断准确性，但尚未提高可切除性和降低死亡率。
